| NPI | 1235310434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA 60300015) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LW60300015) |
| 101YM0800X Counselor Mental Health (Licence: WA LH60277999) | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2024-06-12 |